Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.92 / $306.61 / $567.55	Facility		$258.92	$306.61	$567.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.92 / $306.61 / $444.20	Professional		$258.92	$306.61	$444.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.57 / $718.66 / $1,409.14	Facility		$704.57	$718.66	$1,409.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.80 / $420.80 / $1,121.43	Professional		$420.80	$420.80	$1,121.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $545.91 / $587.01 / $587.01	Facility		$545.91	$587.01	$587.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $587.01 / $587.01 / $587.01	Professional		$587.01	$587.01	$587.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $432.60	Professional		$315.80	$315.80	$432.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $704.57 / $1,585.28	Facility		$319.00	$704.57	$1,585.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.82 / $512.30 / $1,268.23	Professional		$363.82	$512.30	$1,268.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.25 / $429.25 / $429.25	Facility		$429.25	$429.25	$429.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.59 / $429.25 / $515.10	Professional		$423.59	$429.25	$515.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $704.57	Facility		$432.60	$432.60	$704.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $419.76 / $1,003.13	Professional		$315.80	$419.76	$1,003.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $456.41 / $456.41	Facility		$0.55	$456.41	$456.41
United Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $422.74 / $644.41	Professional		$234.34	$422.74	$644.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $423.59 / $423.59 / $440.20	Facility		$423.59	$423.59	$440.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $423.59 / $423.59 / $450.07	Professional		$423.59	$423.59	$450.07